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AMERISAFE INC Director's Dealing 2019

May 17, 2019

32379_dirs_2019-05-17_311e10c9-637d-4be8-8e90-9ee56dea8a0c.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2019-05-15

Reporting Person: Fuller Neal Andrew (EVP-CFO)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2019-05-15 Common stock, par value $0.01 A 1769 $0.00 Acquired 22110 Direct
2019-05-17 Common stock, par value $0.01 S 885 $59.68 Disposed 21225 Direct

Footnotes

F1: Shares issued for the 2016-2018 performance period under an award agreement between the Reporting Person and the Company pursuant to the Company's Equity and Incentive Compensation Plan. The awards were determined by the Compensation Committee of the Board of Directors of the Company on May 15, 2019 in accordance with the terms of the Plan and the related award agreement.

F2: The shares were sold pursuant to the Reporting Person's 10b5-1 plan primarily to pay required withholding taxes associated with the shares awarded under the related award agreement.

F3: Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $59.26 and $60.25. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.